Friedman L D, Candidate J D
Am J Law Med. 1978 Spring;4(1):91-110.
The National Health Planning and Resources Development Act of 1974 requires each state to enact a certificate-of-need program in compliance with federal standards in order to remain eligible for continued receipt of federal funds for health resource development after 1980. This Note contends that the Act and related HEW regulations preclude states from exempting health care facilities' research expenditures and education expenditures from the scope of the states' certificate-of-need programs. The Note recommends that, as an alternative to such state exemptions, each state develop a streamlined certificate-of-need procedure that fulfills federal requirements while efficiently meeting the special needs of research and education projects.
1974年的《国家卫生规划与资源开发法》要求每个州制定一项需求证明计划，以符合联邦标准，从而在1980年之后仍有资格继续获得联邦用于卫生资源开发的资金。本注释认为，该法案及相关的卫生、教育和福利部法规使各州无法将医疗保健机构的研究支出和教育支出排除在各州需求证明计划的范围之外。本注释建议，作为这种州豁免的替代方案，每个州应制定一种简化的需求证明程序，该程序既要满足联邦要求，又要有效地满足研究和教育项目的特殊需求。
